Healthcare Provider Details

I. General information

NPI: 1881225621
Provider Name (Legal Business Name): MISSION POINT OF FOREST HILLS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2020
Last Update Date: 07/01/2025
Certification Date: 07/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1095 MEDICAL PARK DR SE
GRAND RAPIDS MI
49546-3685
US

IV. Provider business mailing address

1095 MEDICAL PARK DR SE
GRAND RAPIDS MI
49546-3685
US

V. Phone/Fax

Practice location:
  • Phone: 616-949-7220
  • Fax:
Mailing address:
  • Phone: 616-949-7220
  • Fax: 616-956-6947

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MRS. KRISTINE RANEL KIRK
Title or Position: REGULATORY ANALYST
Credential:
Phone: 417-846-3521